DR. JERE SANDEFUR M.D. NPI 1790744928

NPI Information

  • NPI: 1790744928
  • Provider Name: DR. JERE SANDEFUR, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • Address: 2825 E BARNETT RD
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 789-4263

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NPI Details

DR. Jere Sandefur, M.D. is a radiation oncology radiology in Medford, OR. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Jere Sandefur, M.D. NPI is 1790744928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2825 E BARNETT RD
MEDFORD, OR
ZIP 97504-332
Phone: (541) 789-4263

The enumeration date for this NPI number is 3/17/2006 and was last updated on 8/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyMD16513OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A51194MEDICARE UPINOREGON
2014279MEDICAIDOREGON
3R00WCJXCAMEDICARE PINOREGON
4MD16513OTHEROREGONOREGON STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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